| The Family Resource Center At Gorham | |
|
123 Main St Gorham NH 03581-1659 | |
| (603) 466-5190 | |
| (603) 466-9022 |
| Full Name | The Family Resource Center At Gorham |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Main St, Gorham, New Hampshire |
| Authorized Official Name and Position | Patricia Stolte (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6034665190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Resource Center At Gorham 123 Main St Gorham NH 03581-1659 Ph: (603) 466-5190 | The Family Resource Center At Gorham 123 Main St Gorham NH 03581-1659 Ph: (603) 466-5190 |
| NPI Number | 1669658092 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 09/08/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669658092 | NPI | - | NPPES |
| 3123622 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Secondary |